Experiential avoidance in body dysmorphic disorder.
Anne C Wilson, Sabine Wilhelm, Andrea S Hartmann
Author Information
Anne C Wilson: Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Simches Research Building, 2nd Floor, 185 Cambridge Street, Boston, MA, USA. Electronic address: wilson.2796@osu.edu.
Sabine Wilhelm: Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Simches Research Building, 2nd Floor, 185 Cambridge Street, Boston, MA, USA.
Andrea S Hartmann: Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Simches Research Building, 2nd Floor, 185 Cambridge Street, Boston, MA, USA.
Experiential avoidance (i.e., the attempt to avoid certain internal experiences including bodily sensations, thoughts, emotions, memories, and urges) has been studied in various psychological disorders. However, research examining experiential avoidance in individuals with body dysmorphic disorder (BDD) is limited and inconsistent. The present study compared experiential avoidance in individuals with primary BDD (n=23) to healthy controls (n=22). Standardized measures were used to assess baseline clinical characteristics as well as experiential avoidance. Compared to healthy controls, individuals with BDD presented with significantly greater experiential avoidance (p<.001, d=-2.51). In BDD, experiential avoidance was positively correlated with depressive symptoms (p<.01) and avoidant coping strategies (p<.01). Clinician sensitivity to experiential avoidance may serve to improve the course of treatment for BDD.
